Provider Demographics
NPI:1255762522
Name:FRIEDLER, TARA CAREY (PHYSICAL THERAPY)
Entity type:Individual
Prefix:MS
First Name:TARA
Middle Name:CAREY
Last Name:FRIEDLER
Suffix:
Gender:F
Credentials:PHYSICAL THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:49 LAKE AVE # LL3
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-4501
Mailing Address - Country:US
Mailing Address - Phone:203-275-9455
Mailing Address - Fax:203-651-1820
Practice Address - Street 1:49 LAKE AVE # LL3
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-4501
Practice Address - Country:US
Practice Address - Phone:203-275-9455
Practice Address - Fax:203-651-1820
Is Sole Proprietor?:No
Enumeration Date:2013-12-11
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10680225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist